Author Topic: 14 year old son with gynecomastia  (Read 4070 times)

Offline Falcons44

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Hello. I am a mom of a 14 year boy that plays basketball, he is thin, tall, and use to be out going. I noticed this past year he hasn't been himself. I ended up finding out about his puffy nipples by buying him shirts that he wouldn't wear. He didn't want me to tell his dad, or anyone. He wanted baggier shirts with a logo across the chest area. Anyway. We spent about two months trying holistic stuff. I put him on iodine and zinc. It never hurt him, but nothing changed. My son said he had been like this since end of last summer.  Now, summer is approaching and basketball camps are around the corner. He knows he will have to show his skin... I could tell the disappointment with what we were doing so I had to take him to a family Doc to get an pediatric endocrinologist referrel. The family Doc looked at my son and you could tell she wasn't comfortable with him. That made him feel awful. Anyway... we got the referral. I called the endo office and explained the mental side that my son is going thru and if anyway possible we could get in earlier than the two month waiting list. She went to the Doc and explained his situation and sure enough they saw him the next day. SUPER PEOPLE! we went and met the new Doc and he explained that my sons blood work all came back in normal levels. he explained to my son about the stages of puberty. My son was in stage 3-4 out of the five stages. The Doc said he has seen teens with gynecomastia but has never treated them for it. Being that my son is very depressed about it, the Doc did some research on tamoxifen. He explained in one month that 60%or  80%( I can't rem) of boys saw a change and after 3 months it was 100% back to normal. So. Having said our history. Today we are one week and three days into his treatment. He says he cant tell any difference. He hasn't had any side effects so far and feels normal. He does sound more like his old self in hope that this will work. I will keep all of you posted during this journey. I know things could be worse, but I ask that you pray for him and that it will take all the puffiness away. His name is Matt. Anyone that has any suggestions I am very open to listen. God Bless you.

Offline Dr. Elliot Jacobs

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Your story is achingly familiar -- I have heard it many times.

Luckily you are involved with your son and at this time, that alone is reassuring to him.  He is going through puberty and puffy nipples/gynecomastia is very common at that stage. Hormonal fluctuations, which have been used as an excuse/explanation for gyne development, are inadequate as a total explanation.  I believe that genetic influences, in which the breast tissue is abnormally sensitive to any circulating estrogen, are a major cause.  Honestly, I am doubtful if Tamox will be of major help -- but hey why not try.

Bottom line, give it two years -- and if it is unchanged, then consider it permanent and seek surgical intervention by an expert in gyne surgery.  You need not wait til the "magical" age of 18, when, according to many pediatricians, it will disappear overnight.  I have operated on many boys in their early teens and there has never been a recurrence -- and the surgery spared them years of embarassment and humiliation.

You can read more about adolescent gynecomastia on my website captioned below.

Good luck!

Dr Jacobs
« Last Edit: June 21, 2017, 11:40:23 AM by Dr. Elliot Jacobs »
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
4800 North Federal Highway
Boca Raton, Florida 33431
561  367 9101
Email:  dr.j@elliotjacobsmd.com
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.c

Offline imtakinemout

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This is basically me when I was 14, but the difference is that I wasn't brave enough to tell my parents, so I ended up living with it until age 30, when I finally had surgery (also my parents still don't know). I think he is on the right track. I am a physician myself and tamoxifen has indeed shown great results but "only" when used early enough. Also it's good he's slim, so there is probably not much fat in there, just gland, which may respond to tamoxifen. Salutes to the endocrinologist for being proactive instead of just telling you to wait. I would follow up with him for the treatment and go from there. Good luck!

Offline Geoff88

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I'm sure there's time to try a couple things and the main thing I'd add to the above comments is to get good advice from doctors that specialize in gynecomastia.  I lived with it for over 20 years before doing something, I wish I did something sooner.

Using specialists, such as some of the doctors that frequent these forums (and I live in a country not linked to any of them, so I'm saying this purely from a personal belief!), you will save your son a lot of potential pitfalls that can arise.  These doctors deal with thousands of cases, and that experience is extremely valuable and will help to get on the right road to the solution for your sons case.

If that road does lead to surgery (money and time well spent considering the psychological development differences that come with this condition) then I'd recommend scheduling it for a long holiday period where he can stay wrapped up and can properly heal.

It really is important to follow experienced advice on recovery, the operation itself is quick, but don't accept advice that excludes good compression vests following surgery such as the doctors reiterate here over and over.  The last thing you want your son facing is hard lumpy areas that look like, well, puffy nipples again - simply because an inexperienced doctor said he didn't see the need for compression after a week or two!

All the best, with good help, it's perfectly easily solved!

Offline HairyKnockers

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It is great that your son was able to get a couple of medical opinions on his gynecomastia.  He even is receiving a course of treatment which may reverse the breast development.   Back when many of us were his age we had no idea what caused the rapid breast growth during puberty.  As Dr. Jacobs posted one time, “We didn’t have internet back then.”  I guess Al Gore hadn’t figured out that he had invented yet.  Politicians do say some funny things.

You sound extremely worried about you son and his condition.  Something that you should remember is that gynecomastia is not like having terminal cancer; there is no recorded case of anyone ever dying from it.  It doesn’t make you crazy like dementia, it doesn’t blind you like glaucoma, and it doesn’t disable you like polio.  All things considered gynecomastia is about the least bad thing I can think of having.  You sound like a religious person, be grateful to God that this is his only problem.  You need to give your son support but you also need to help him put this in perspective; when you are 14 every problem is a tragedy.  Your son will live through this; maybe uncomfortably at times, but his attitude means more to his happiness than his breast size contributes to his unhappiness.

The worst case scenario is that your son has surgery at some point to remove excess fat from his chest.  As much as I respect the surgeons on this site, who by all accounts are wonderful people, be careful at charging into surgery.  My next door neighbor is a cardiac surgeon, a man who cuts for a living.  He told me one time, “When your only tool is a scalpel, everyone looks like a surgical candidate.”

Good luck to your son; I hope that you and your husband lead him wisely to see the true value of life and how little some things really matter in God’s greater plan for him.

Offline USFAlum

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I am also the Mom with a son with gynecomastia. Of course I see him as the most beautiful and perfect specimen of a human being ever, but he doesn't see himself that way, unfortunately. He always keeps a sweatshirt on (rotates about 3) even in the triple-digit summers where we live, and/or folds his arms across his chest. He wouldn't go in the water on our Hawaiian vacation and opted to stay in the hotel most days. It took me awhile to figure out what was up because he's 15, and stopped talking to me about his body at around 12. I must admit, I stopped inquiring. His physical health has been ok and his check ups revealed nothing. So I am really new at this...any words of wisdom? What to say/What not to say?

Offline Falcons44

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It's been almost a month and he can tell a difference with the breast area but not the puffy nipples. He said it also doesn't hurt him as bad. Before they were very tender and uncomfortable. His attitude seems to be a lot better bc I guess he is starting to tell a difference. I just picked up His second round of tamoxifin. Hopefully by beach time he will be comfortable with not wearing a shirt. Hope all is well with everyone.

Offline HairyKnockers

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USF Alum, is that University of San Francisco, the Jesuit School or University of South Florida, sort of a big difference in culture!

Starting when my daughter was around 12 years old she would have some huge drama episode over some minor problem.  I would ask my wife what was our daughter’s issue; she would tell me, I would shake my head in disbelief and say “Why that is nothing to be upset about.”  My wife’s answer was always the same, “You have never been a 12 year old girl.”  There in is the problem of relating to your son’s issue, you have never been a 15 year old boy.  No matter how empathetic you are, in his eyes you are never going to fully understand his plight.  So you will do the very best you can to try and understand, from his standpoint, what it is like to be a 15 year old boy with a problem he is absolutely certain no one else has or will understand.  You will get some of it totally wrong but you should get enough right that he will understand that you care and have his back.  Have empathy for him.

Be honest, but not too honest.  We all know the person that will give it to you with both barrels, the kind of person no one likes.  Brutally honest isn’t typically as fully honest as the person thinks, but it is always brutal. So be totally honest and don’t say things that you don’t believe, but say them with compassion. You can say the glass is half full and still be honest.  Your son knows you pretty well by this point in his life; he can most likely tell if you are being insincere.

No teenage boy wants to talk to his parents, especially his mother, about his body. So if you can get him to open up, listen and encourage him to talk to you.  But don’t obsess about the subject; nagging him to talk about it will typically cause him to withdraw.  He will cope with his problem one way or the other; from what you said hiding it is his preferred method.  If you can get him to talk about it, it brings light to the subject and he no longer needs to hide it alone. If he can share this problem with someone, even if that is not you, it will be the first step towards his acceptance and seeing his breast development as an annoyance not something shameful or embarrassing.

Knowledge is power.  Knowledge empowers a person; it gives them the feeling of control over their life.  You did not say if he even realizes he has gynecomastia.  If he doesn’t realize what causes the problem that can be stressful in and of itself.  If you can get any amount of dialog going with him, I suggest you give him a link to this site.  He can view the stages of gynecomastia, read what causes it—basically too much testosterone all at once, that should be a surprise to him. Maybe even suggest that he posts his story, feelings, and photos.  He will get feedback from others who are going through the same thing or have gone through it.  Plenty of teenagers his age and younger post; they get a sense of perspective and “hey I’m not the only one.”

Knowing what to say to your children is always tough, especially if it is the opposite sex child. Try what I have suggested, I don’t know your son but I do know what being a 15 year old boy with breasts was like. Let us know how it goes.  Parents occasionally post but I don’t know of any that have ever given us a follow-up.  I am certain there are other parents that would like to know how your journey goes.

Offline walt

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hello I have had breast growth since I was 11 yrs old the teasing was bad as I was a chubby child, my parents did nothing but feed me cookies and tell me its ok just baby fat by the time I was 13 my sister and her girl friends made me put on one of her bras then panties and teased me for years about it .my  childhood was not entirely fun.at this point in my life some 40yrs later I must wear a bra as I am a 48C and need the support . my wife likes them and now I would not change things. all in all its a personal choice as I know how hard it was growing up ,support your child all ways you can. best of luck.

Offline HairyKnockers

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As a side bar, I also know what it is like to cross my arms to hide my chest.  I was on the swim and water polo teams in high school.  Imagine that, a guy with breasts wearing a Speedo standing in front of a bunch of people; I don’t know if it was bravery or arrogance that kept me in swimming.

Many years ago I showed my wife my now 50 year old high school annual; all black and white photos, somewhat grainy, and very unimaginative.  There in the sports section was a team photo of the swim team all in our Speedos, hands down our sides, lined up by grade level.  I stood at one end of the freshman line, the only person with their arms crossed at their chest.  When the annuals came out that year people said I looked egotistical standing with my arms crossed like that.  It was more like fear that I would have to uncross my arms.

Offline gregory34

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Keep a very very close eye on your son. This condition is extremely serious and I contemplated suicide over the mental trauma that it caused. You can't be intimate with girls, you can't wear certain clothes, you end up hating yourself. 
You need to get this sorted out ASAP and I mean ASAP. I don't mean to scare you but I don't think you understand how badly this can affect a guys confidence. I first noticed I had it when I was around the same age as your son and he's lucky to have you caring about it because I had nobody. My doctor at the time laughed me out of the office and that was the only person I thought I could turn to.
You should really consider having the surgery for your son. I can assure you he would leap at the idea.

Offline Jollybean

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I wish my parents would know and notice that I had gynomesticia. Pls do the surgery for ur son. It will make a huge difference in his confidence and his life


 

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